# SHERMAN J. MENSER D.D.S

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Shadybrook Cosmetic & Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609042910
- **Authorized official:** TANYA L RODGERS (OFFICE MANAGER)
- **Authorized official phone:** (405) 737-3441

## Contact information

- **Practice address:** 2809 SHADYBROOK DR, MIDWEST CITY, OK 73110-3121
- **Practice address phone:** (405) 737-3441
- **Mailing address:** 2809 SHADYBROOK DR, MIDWEST CITY, OK 73110-3121
- **Mailing address phone:** (405) 737-3441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5183 | OK | Yes |

## Other

- **Enumeration date:** 05/06/2008
- **Last updated:** 05/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1831134295 | TYPE I NPI | OK |